Changes in Semen Color After Hematospermia: When to Seek Help

Q: Changes in Semen Color After Hematospermia: When to Seek Help

Hello： It should be in recovery. <br>If you need to go to the hospital for an examination, that's fine, but you should avoid too much DIY, as it can easily lead to a recurrence.

After experiencing hematospermia, the color of the semen?

Hello doctor, during a previous episode of masturbation, I experienced hematospermia at the time of ejaculation.
I immediately stopped masturbating for almost two weeks, and later the color of my semen gradually changed from dark brown to no longer having red.
Does this mean I have recovered? However, the color of my semen is not like it used to be; it is now more off-white to yellowish, and sometimes it even appears slightly green.
This change in color has been persistent for a while.
Recently, I visited a urology clinic and explained my situation to the doctor, who prescribed antibiotics, but I feel that the color of my semen has not returned to normal.
Should I go to a larger hospital for a semen analysis?

QQ, 20~29 year old female. Ask Date: 2017/05/23

Dr. Du Shixi reply Urology

Hello: It should be in recovery.
If you need to go to the hospital for an examination, that's fine, but you should avoid too much DIY, as it can easily lead to a recurrence.

Reply Date: 2017/05/23

More Info

When it comes to changes in semen color, particularly after experiencing hematospermia (the presence of blood in semen), it is essential to approach the situation with caution and awareness of potential underlying issues. Hematospermia can be alarming, and while it may resolve on its own, persistent changes in semen color warrant further investigation.

In your case, you mentioned that after the initial episode of hematospermia, your semen color transitioned from dark brown to a more yellowish or greenish hue. This change can be attributed to several factors, including the healing process after the initial bleeding, potential infections, or other underlying conditions affecting the reproductive system.

The fact that you have already consulted a urologist and were prescribed antibiotics indicates that your doctor is considering the possibility of an infection, which is a common cause of changes in semen color. Infections of the prostate (prostatitis), seminal vesicles, or epididymis can lead to discoloration and other symptoms such as pain or discomfort during ejaculation. If the antibiotics have not improved your condition or if the discoloration persists, it is crucial to follow up with your healthcare provider.

Here are some key points to consider regarding your situation:
1. Duration of Symptoms: If the discoloration has persisted for more than a few weeks, it is advisable to seek further evaluation. While some changes may resolve naturally, ongoing symptoms could indicate a more serious issue.

2. Associated Symptoms: Pay attention to any additional symptoms you may be experiencing, such as pain during ejaculation, fever, or changes in urinary habits. These could provide important clues to your healthcare provider.

3. Semen Analysis: A semen analysis can help identify any abnormalities in sperm count, motility, and morphology, as well as the presence of infection or inflammation. This test can provide valuable information that may not be apparent through a physical examination alone.

4. Imaging Studies: Depending on your symptoms and the findings from the semen analysis, your doctor may recommend imaging studies, such as an ultrasound, to assess the reproductive organs for any structural issues or abnormalities.

5. Follow-Up Care: If you do not see improvement after completing the antibiotic course, or if your symptoms worsen, it is essential to return to your urologist or seek a second opinion. A referral to a specialized center may be necessary for more comprehensive evaluation and treatment.

In summary, while some changes in semen color may resolve on their own, persistent discoloration, especially after an episode of hematospermia, should not be ignored. It is crucial to communicate openly with your healthcare provider about your concerns and to advocate for further testing if your symptoms do not improve. Early intervention can help address any underlying issues and ensure your reproductive health is maintained.

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